title: Chlamydia trachomatis Infection in minority adolescent women: a public health challenge.
abstract: Chlamydia trachomatis is the most common bacterial sexually transmitted infection in the United States. This disease disproportionately affects adolescent minority women, and untreated infection can lead to lasting reproductive tract morbidity. Recommendations for primary prevention include patient counseling to decrease risky behavior and increase barrier protection use; secondary prevention recommendations include screening and treatment of affected individuals and their sexual partners, barrier contraception use, as well as counseling to decrease behaviors that lead to reinfection. Despite these strategies, both incidence and prevalence of Chlamydia have continued to escalate in this population. Interventions to decrease chlamydial infection should encompass all facets of primary and secondary prevention as well as address the fundamental barrier to prevention-lack of perception of risk in this young age group.
  
  
  BACKGROUND
  Obstetricians & Gynecologists, Family Physicians.
  
  
  OBJECTIVE
  After completion of this educational activity, the obstetrician/gynecologist should be better able to identify current screening guidelines to test for chlamydial infection in sexually active adolescents; obtain more thorough sexual histories, and understand dynamics of disproportionate disease burden in minority teens; recognize and act to decrease the high risk of reinfection in this patient population; and employ novel methods to increase STI screening.
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7570, USA. Christie_cooksey@med.unc.edu
authors.forename: Christie M J L
authors.initials: CM
authors.lastname: Cooksey
authors.forename: Erica K
authors.initials: EK
authors.lastname: Berggren
authors.forename: Jennifer
authors.initials: J
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D002690:Chlamydia Infections / Q000453:epidemiology* / Q000517:prevention & control* / Q000635:transmission; D002692:Chlamydia trachomatis; D003268:Contraception Behavior / Q000523:psychology; D003274:Contraceptive Devices, Female; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control; D006801:Humans; D008913:Minority Groups; D015995:Prevalence; D012725:Sexual Behavior; D015231:Sexually Transmitted Diseases, Bacterial / Q000453:epidemiology* / Q000517:prevention & control*